CDC Overview

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CDC Overview

• Use of the CDCs CRA System for Pandemic Influenza

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Basic Functions
IIS
CRA
3
CRA - What is it?

• The CRA system supports the protection of the
  public in the event of national public health
  threats by managing information about the
  administration or use of countermeasures under
  both pre-event and post-event conditions.

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CRA - What is it? (contd)

• Campaign-centric
• must have a defined campaign in CRA before it can
  support countermeasure data
• for each campaign, each jurisdiction can select
  how to use CRA

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CRA Modes

• CRA has 2 modes
• CRA on-line
• Partner users manage data using the CRA web
  interface
• CRA messaging
• Partner uses own system to manage data and
  submits needed data to CDC CRA

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CRA On-Line Core

• Campaign
• Current NSPP, Monkeypox Outbreak 2003, Flu
  Vaccine Shortage 2004-2005
• In process Pandemic Flu (pre and post event)

• Countermeasures
• Current smallpox vaccine with take response
  flu vaccine
• In process isolation/quarantine with follow-up
  pill-based pharmaceuticals

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CRA On-Line Core (contd)

• Jurisdiction
• Both partner and sub-jurisdictions
• Organization
• Clinics/PODs, referring organizations, health
  departments, etc
• have functions in campaigns
• Hierarchy
• Organizes jurisdictions and organizations for
  each campaign

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CRA On-Line Core (contd)

• Users
• Assigned to either partner or organization in
  campaign
• Staff
• have responsibilities in each campaign
• assigned to organizations
• Patient
• both identified and non-identified generally
  supported
• must be part of a campaign to be entered
• may require a countermeasure
• identified data may not be shared outside the
  system unless required by campaign

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CRA On-Line User Roles

• Public Health Administrators (PHA)
• Assigned to partner jurisdiction
• Manage data for the partner
• Run public health reports extracts
• Data Entry Specialists (DES)
• Assigned to an organization/POD in a campaign
• Manage the data for an organization in a campaign
• Global Administrator (GA)
• Manages CRA
• Assists users

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CRA Messaging

• PHIN certification in the CRA PHIN functional
  area
• partner has a system capable of supporting the
  necessary functions
• partners system is capable of producing the
  necessary data exchange with appropriate format
  and data (vocabulary)
• Select to use CRA messaging for given campaign

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Pandemic Flu CRA

• HHS Pandemic Influenza Plan (http//www.hhs.gov/pa
  ndemicflu/plan/)
• create a seamless preparedness network where we
  are all working together for the benefit of the
  American people
• Domestic vaccine and production capacity
  sufficient to provide vaccine for the entire U.
  S. population
• vaccine... will be procured and distributed to
  state and local health departments for
  immunization of predetermined priority groups.
• antiviral drugs from public stockpiles will be
  distributed
• Two doses per person were assumed to be required
  for protection.

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Pandemic Flu CRA (contd)

• Vaccinate the US population
• Tens of thousands of providers giving vaccine
• Approx 300 million patients
• Approx 600 million vaccinations

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CRA Pandemic Flu Plans

• Preparedness (pre-event)
• build an aggregate module to capture data needed
  by NIP/HHS to monitor coverage and readiness
• include aggregate messaging for partners with
  systems
• with NIP AIRA, conduct survey to determine if
  an individual module is needed

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CRA Pandemic Flu Plans (contd)

• Post event
• complete isolation/quarantine module
• build anti-viral module
• add new messages as needed for partners with
  systems
• explore connection to or data exchange with
  distribution systems
• explore data exchange with outbreak management
  systems

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Possible Pandemic Flu System Architecture
CRA
Monitoring
?
VAERS
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Assistance

• PHIN Web Site
• http//www.cdc.gov/phin/
• Technical Assistance Group (TAG)
• Jerry Wetmore
• jwetmore_at_cdc.gov
• 678-530-3623
• PHIN Help Desk
• 1-800-532-9929
• PVSInfo_at_cdc.gov
• CRA Working Group
• Contact the PHIN Help Desk

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Questions??